Radiology - About Us - Services
The Radiology Department is part of the Division of Assessment and
Diagnostics, which includes Pathology, Breast Screening, Out Patients,
Audiology, ENT and Endoscopy at the Queen Elizabeth Hospital.
The main department is based at the Queen Elizabeth Hospital and is a modern
and innovative department encompassing all the main imaging modalities. In
addition to the main site we also have 2 satellite facilities where we provide a
plain image radiography service. Across all sites we undertake a total of
approximately 165,000 examinations per annum.
Interventional X-Ray + Expand - Close
A range of vascular examinations are performed in are vascular suite comprising of;
Philips Integris Vascular room, preparation area and patient reception/recovery area.
The vascular team has an active research programme and has had many presentations and
publications at national and international level over the last few years.
There is an Ultrasound Services Manager and a Clinical Lead sonographer for Vascular
& Trust-Wide Ultrasound, supported by six trained Sonographers who all hold a
recognised qualification in medical ultrasound (Diploma in Medical Ultrasound or
equivalent) and practice independently as Clinical Specialists / Advanced Practitioners in
the Ultrasound Department.
Some of them have further specialist qualifications and advanced training in vascular,
musculo-skeletal, obstetric and paediatric hip scanning.
The Sonographers and Radiologists are responsible for staffing seven ultrasound
machines owned by the department within radiology and the antenatal clinic which
• Three Philips IU22 systems
• Philips ATL HDI 5000
• Philips HD3 (mobile)
• Toshiba Aplio 80 (ANC)
Toshiba Aplio XG (ANC)
There are four ultrasound rooms sited beneath the main X-ray Department. One of these
is mainly staffed by a Radiologist together with radiographic department assistants and
the other three by Sonographers who independently report all their scans.
The department supports several rapid access services, including pelvic mass,
postmenopausal bleeding, haematuria, musculo-skeletal, neck/thyroid, The sonographers
participate and present at various multidisciplinary teaching meetings.
There is a service for ultrasound guided interventions (biopsies, fine needle aspirations
and drainages)provided by the Radiologists.
Two obstetric scan rooms remote from the main department in the antenatal clinic are
staffed by sonographers from the main department. The sonographers undertake a variety
of ultrasound scans covering most aspects of obstetric ultrasound. There are also five
further machines in the maternity wing owned by the O&G Department which are used
for IVF work, early pregnancy and labour ward. These machines are used by their staff
and also by our Sonographers on the Special Care Baby Unit. The sonographers
providing the obstetric service participate in the multidisciplinary perinatal mortality
Vascular Ultrasound Lab
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Vascular Ultrasound Lab
The department has had a full time, comprehensive Vascular Ultrasound Service since
1997. The current ultrasound system is a Philips iu22.
This provides the DVT service (including scanning of the calf veins), carotid, aorto-iliac,
upper and lower limb arterial and venous Doppler scans, including detailed varicose vein
Surveillance programs exist for infra-inguinal grafts, aorto-iliac stents and aortic stent
grafts alongside the EVAR protocols.
Vascular Sonographers work as integral members of the Vascular Team and present at
weekly multidisciplinary team clinical meetings with Vascular Surgery and Stroke
Medicine. They have contributed to many publications and presentations as part of the
wider vascular team and have held national educational courses at the Queen Elizabeth
Site for many years.
Computed Tomography + Expand - Close
Our current scanning suite consists of;
• 16 slice Philips Mx8000IDT
• Preparation room
• Designated waiting area with toilet and changing facilities.
• Reporting area
• 3 Workstations
• Brain imaging including professorial stroke unit
• Oncology work
• Subregional centre for gynaecological oncology
• Calman-Hine unit for breast, lung, colorectal large bowel, upper GI, lymphoma
• Staging of other cancers including urinary tract and stomach
• Active chemotherapy day unit
• Work-up and follow-up of aortic stent grafts
• Invasive procedures including drainage and biopsy
• General workload of a large DGH
• On-call service for emergency CT brain
Opportunities in oncology and stroke disease
Image from http://www.vetimagesys.com/
M.R.I. + Expand - Close
MAGNETIC RESONANCE IMAGING
The Queen Elizabeth Hospital has a purpose-built MRI Scanning Suite, housing a 1.5
Tesla Philips Scanner, which opened on December 8th 2003.
The Scanner was purchased through full capital funding from the NHS National
The Department is a small but busy unit, performing examinations requested by
Consultants from in and around the Gateshead NHS Trust.
A wide range of examinations is currently undertaken, which include
• Musculoskeletal imaging
• Abdominal imaging, including MRCP
• Pelvic imaging
• Vascular work
We do not provide an On-Call service at present.
Permanent MRI Staff - Contact us on Ext: 3780 for any enquires regarding MRI, safety
• Jo Johnson, (LeadRadiographer)
Other Contact Numbers:
• General Enquiries / Bookings and Reports Ext: 3782
• Scan Control Room Ext: 3780
• Patients Safety Questionnaire
• MRI Safety Questionnaire: What you (and we) need to know
Below is a standard machine that we use for MRI:
General X-Ray + Expand - Close
The General Radiology department currently consists of:
• 1 Urographic/General Room
• 1 DR General Room
• 2 Existing General Rooms
• 2 Accident/Emergency Rooms (1 DR Room)
• Dedicated radiography facilities in A&E Resuscitation Room
In A&E, we use DigitalDiagnost, a direct digital radiography system with flat detector
Image from: http://www.healthcare.philips.com/
Nuclear Medicine + Expand - Close
Nuclear Medicine Unit
The Nuclear Medicine Unit is part of the Regional Medical Physics Department
The Regional Medical Physics Department is a Clinical Directorate of Newcastle
Hospitals NHS Foundation Trust. The Department provides a range of Medical Physics
Services in the Northern Region through service level agreements with other trusts.
The Regional Medical Physics Department consists of Units at Newcastle General
Hospital, Royal Victoria Infirmary and Freeman Hospital.Newcastle upon Tyne;
Cumberland Infirmary, Carlisle; South Cleveland Hospital, Middlesbrough; University
Hospital of North Durham; and Sunderland Royal Hospital. Sub-units and other staff are
located at North Tees General Hospital, Stockton: North Riding Infirmary,
Middlesbrough; West Cumberland Hospital, Whitehaven; Memorial Hospital,
Darlington; Royal Infirmary, Sunderland; Queen Elizabeth hospital, Gateshead; Prudoe
Hospital; and the Medical School, University of Newcastle upon Tyne.
Request for Nuclear Medicine Investigation
The Gateshead sub-unit comprises a Radiopharmacy, collation/laboratory room,
Dedicated Heart Stress Room and Gamma Camera Room
The unit can provide a wide range of Imaging investigations via a dual headed Philips
‘Axis’ gamma camera as well as non-imaging tests such as Glomerular Filtration Rate
(GFR) measurements and therapeutic procedures e.g. I131 thyroid therapy capsules.
The unit is currently staffed by four technologists a consultant medical physicist and
senior medical physicist.
If you want to know more about the Nuclear Medicine Unit or medical physics in
general, go to our links page.
The radioactive injections (radiopharmaceuticals) used to give the nuclear medicine
images must be produced in a special clean room. This room is called the Radiopharmacy
and is constructed similar to an operating theatre with easily cleaned smooth surfaces and
a filtered air supply which traps all air-borne bacteria and particles
The Gateshead Medical Physics Unit has its own radiopharmacy from which supplies the
radioipharmaceuticals for local use.
The radiopharmacy consists of a changing/step-over area and the actual clean room.
There are two laminar flow cabinets within the clean room, one contains the Tc-99m
generator, the other is used for the actual production of the radiopharmaceuticals.
Once manufactured, the individual doses are dispensed and measured on the workbench
and then passed through a hatch into the collation room for checking and releasing.
All radiopharmaceuticals need to be checked before releasing to be given to the patient.
The syringe must be checked to ensure that the correct patient details label is attached
and that the dose is within the acceptable limits (+- 10%).
The radiopharmaceutical kit must also be checked to ensure that it is not out of date and
is the correct compound for the procedure. All these checks must be carried out by
someone other than the person who manufactured the doses.
The largest part of the nuclear medicine workload in the Gateshead Medical Physics Unit
is myocardial perfusion imaging (MPI).
This test usually requires the patient to be chemically stressed before the administration
of the radiopharmaceutical and subsequent imaging. Adenosine and Dobutamine are the
two stressing agents used for this purpose. The patients E.C.G. trace, oxygen saturation
levels and blood pressure are all monitored during the infusion of the drug.
A specially fitted stress room is used for this purpose; the room contains a heart monitor
and automatic B.P. machine and an Oxygen saturation monitor. The room is fitted with
an oxygen supply and suction, a crash trolley and de-fib are placed outside the room.
Gamma Camera Room
The Medical Physics Unit contains one dual head Picker Axis Gamma Camera which can
be used to image all routine modes of acquisition :
• Static images
• Static Whole-body
• Multi segment dynamic studies
• Multi Gated Acquisitions (MUGA)
• Gated SPECT.
The gamma camera is connected to a dedicated UNIX ‘Odyssey’ computer system for all
analysis and display of images, all reporting is done direct from computer screen. Note:
The current Odyssey computer system is being upgraded to a LINUX 'Odyssey LX'
system, offering improved and quicker data analysis.
Picker Axis gamma camera performing a SPECT acquisition.
Image archive is via DICOM transfer onto a P.C. running ‘Radworks, all image data is
backed up daily onto the hospital image store.